پیش‌بینی اضطراب سلامتی از طریق مسیر ترس از کووید-19، روان‌رنجوری، نظام بازداری رفتاری و راهبردهای منفی نظم‌جویی شناختی هیجان

پژوهش های روان شناسی بالینی و مشاوره

مقاله 5، دوره 14، شماره 1 - شماره پیاپی 27، خرداد 1403، صفحه 85-112   

نوع مقاله: مقاله پژوهشی

شناسه دیجیتال (DOI): 10.22067/tpccp.2024.79613.1402

نویسندگان

محمدرضا مظلوم زاده¹؛ علی مشهدی^{* 2}؛ سید روح الله حسینی³

¹دانشجوی دکتری روانشناسی سلامت، دانشکده روان‌شناسی و علوم تربیتی، دانشگاه تهران، تهران، ایران.

²استاد روان‌شناسی،گروه روان شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه فردوسی مشهد، مشهد، ایران.

³استادیار علوم اعصاب ، گروه روان شناسی، دانشکده علوم تربیتی و روان‌شناسی، دانشگاه فردوسی مشهد، مشهد، ایران.

چکیده

هدف: هدف از پژوهش حاضر بررسی رابطۀ بین ترس از کووید-19 و اضطراب سلامتی با میانجی‌گری روان‌رنجوری، نظام بازداری رفتاری و راهبردهای منفی نظم‌جویی شناختی هیجان بود.

روش: پژوهش حاضر از لحاظ روش، از نوع توصیفی و از نوع مطالعات همبستگی و از لحاظ هدف، کاربردی بود. جامعۀ پژوهش را افراد رده سنی بین 18 تا 60 سال شهر مشهد در سال 1400-1401 شامل شدند که از بین آن‌ها به صورت روش نمونه‌گیری بلوکه‌بندی و در دسترس، 450 نفر به عنوان نمونه انتخاب شدند. ابزارهای این پژوهش شامل پرسشنامه ترس از کووید-19 (2020)، پرسشنامۀ اضطراب سلامتی (1989)، پرسشنامۀ نظم‌جویی شناختی هیجان (2010)، مقیاس نظام‌های فعال‌سازی و بازداری رفتاری (1994) و فرم کوتاه پرسشنامه 5 عاملی شخصیت نئو (1992) بود. روش تحلیل این پژوهش، تحلیل مسیر بود که با استفاده از آن مسیر پیش‌بینی متغیرهای پژوهش مورد بررسی قرار گرفت.

یافته‌ها: یافته‌ها نشان داد که ارتباط ترس از کووید-19 چه به صورت مستقیم و چه به صورت غیرمستقیم به واسطۀ روان‌رنجوری، نظام بازداری رفتاری و استفاده از راهبردهای منفی نظم‌جویی هیجان قادر به پیش‌بینی اضطراب سلامتی بود. می‌توان نتیجه گرفت که در دوران کووید-19 روان‌رنجوری، نظام بازداری رفتاری و به تبع آن‌ها، مهارت نظم‌جویی هیجان نقشی کلیدی در میزان اضطراب سلامتی افراد دارد.

کلیدواژه‌ها

واژه‌های کلیدی: ترس از کووید-19؛ اضطراب سلامتی؛ روان‌رنجوری؛ نظام بازداری رفتاری؛ راهبردهای منفی نظم‌جویی شناختی هیجان

مراجع

Abad, M. J. A. E., Shirkhani, M., Mazloomzadeh, M., Maghsoudi, S., & Salayani, F. Relationship between fear of coronavirus and death anxiety: Mediating role of behavioral inhibition system. Anxiety, 13, 14. https://doi.org/10.22038/JFMH.2021.18582.

Abramowitz, J. S., & Braddock, A. (2008). Psychological treatment of health anxiety and hypochondriasis: A biopsychosocial approach. Hogrefe publishing. http:// Amazon.com.

Ahmadzadeh, M., Ghamarani, A., Samadi, M., Shamsi, A., & Azizollah, A. (2013). The investigation of validity and reliability of a scale of perceived vulnerability to disease in Iran. British Journal of Social Sciences, 1(4), 43-51. URL: http://www.bjss.baar.org.uk.

Ahorsu, D. K., Lin, C.-Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2020b). The fear of COVID-19 scale: development and initial validation. International journal of mental health and addiction, 1-9. https://doi.org/10.1007/s11469-020-00270-8.

ALIPOUR, A., Ghadami, A., ALIPOUR, Z., & ABDOLLAHZADEH, H. (2020). Preliminary validation of the Corona disease anxiety scale (CDAS) in the Iranian sample. https://doi.org/10.30473/hpj.2020.52023.4756 [ In Persian].

Andrés, M. L., Richaud de Minzi, M. C., Castañeiras, C., Canet-Juric, L., & Rodríguez-Carvajal, R. (2016). Neuroticism and depression in children: The role of cognitive emotion regulation strategies. The Journal of genetic psychology, 177(2), 55-71. https://doi.org/10.1080/00221325.2016.1148659.

Asghari Ebrahim Abad, M. J., Karbalaee, H. R., Mazloomzadeh, M., Salayani, F., & Maghsoudi, S. (2022). Modeling Structural Equations for Predicting Death Anxiety Associated with COVID-19 Based on Mediating Roles of Emotion Regulation and Meaning in Life [Research(Original)]. Journal of Mazandaran University of Medical Sciences, 32(213), 92-102. http://jmums.mazums.ac.ir/article-1-18046-en.html

Asghari Ebrahim Abad, M. J., Mazloomzadeh, M., Shirkhani, M., Sabbagh, K., & Salayani, F. (2021). Predicting Health Anxiety Based on Fear of Covid-19 Mediated by Behavioral Activation and Inhibition System. Journal of Sabzevar University of Medical Sciences, 28(3), 311-319. http://jsums.sinaweb.net/article_1387_05fbb0568aaab03057ba4926cb6ea200.pdf

Asghari Ebrahim Abad, M. J., Shirkhani, M., Mazloomzadeh, M., Maghsoudi, S., & Salayani, F. (2021). Relationship between fear of Coronavirus and death anxiety: Mediating role of behavioral inhibition system. Journal of Fundamentals of Mental Health, 23(3), 215-225. https://doi.org/10.22038/jfmh.2021.18582

Asmundson, G. J., Abramowitz, J. S., Richter, A. A., & Whedon, M. (2010). Health anxiety: current perspectives and future directions. Current psychiatry reports, 12(4), 306-312. https://doi.org/10.1007/s11920-010-0123-9.

Asmundson, G. J., & Taylor, S. (2020). How health anxiety influences responses to viral outbreaks like COVID-19: What all decision-makers, health authorities, and health care professionals need to know. Journal of anxiety disorders, 71, 102211. https://doi: 10.1016/j.janxdis.2020.102211.

Bailer, J., Kerstner, T., Witthöft, M., Diener, C., Mier, D., & Rist, F. (2016). Health anxiety and hypochondriasis in the light of DSM-5. Anxiety, Stress, & Coping, 29(2), 219-239. https://doi.org/10.1080/10615806.2015.1036243.

Bardeen, J. R., & Fergus, T. A. (2014). An examination of the incremental contribution of emotion regulation difficulties to health anxiety beyond specific emotion regulation strategies. Journal of anxiety disorders, 28(4), 394-401. https://doi.org/10.1016/j.janxdis.2014.03.002.

Blakey, S. M., & Abramowitz, J. S. (2017). Psychological predictors of health anxiety in response to the Zika virus. Journal of clinical psychology in medical settings, 24(3-4), 270-278. https://doi.org/10.1007/s10880-017-9514-y.

Bogoch, I. I., Watts, A., Thomas-Bachli, A., Huber, C., Kraemer, M. U., & Khan, K. (2020). Pneumonia of unknown aetiology in Wuhan, China: potential for international spread via commercial air travel. Journal of travel medicine, 27(2), https://doi.org/10.1093/jtm/taaa008.

Braddock, K. H., Dillard, J. P., Voigt, D. C., Stephenson, M. T., Sopory, P., & Anderson, J. W. (2011). Impulsivity partially mediates the relationship between BIS/BAS and risky health behaviors. Journal of personality, 79(4), 793-810. https://doi.org/10.1111/j.1467-6494.2011.00699.x.

Bults, M., Beaujean, D. J., de Zwart, O., Kok, G., van Empelen, P., van Steenbergen, J. E., Richardus, J. H., & Voeten, H. A. (2011). Perceived risk, anxiety, and behavioural responses of the general public during the early phase of the Influenza A (H1N1) pandemic in the Netherlands: results of three consecutive online surveys. BMC public health, 11(1), 2. https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-11-2.

Cai, H., Tu, B., Ma, J., Chen, L., Fu, L., Jiang, Y., & Zhuang, Q. (2020). Psychological Impact and Coping Strategies of Frontline Medical Staff in Hunan Between January and March 2020 During the Outbreak of Coronavirus Disease 2019 (COVID-19) in Hubei, China. Medical science monitor: international medical journal of experimental and clinical research, 26, e924171-924171. https://doi: 10.12659/MSM.924171.

Carlson, S. M., & Wang, T. S. (2007). Inhibitory control and emotion regulation in preschool children. Cognitive Development, 22(4), 489-510. https://doi.org/10.1016/j.cogdev.2007.08.002.

Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: the BIS/BAS scales. Journal of Personality and Social Psychology, 67(2), 319. https://psycnet.apa.org/buy/1995-00067-001.

Che, Q., Yang, P., Gao, H., Liu, M., Zhang, J., & Cai, T. (2020). Application of the Chinese Version of the BIS/BAS Scales in Participants With a Substance Use Disorder: An Analysis of Psychometric Properties and Comparison With Community Residents. Frontiers in Psychology, 11, 912. https://doi.org/10.3389/fpsyg.2020.00912.

Corr, P. J. (2005). Erratum to “Reinforcement sensitivity theory and personality”[Neuroscience and Biobehavioral Reviews (2004) 317–332]☆. Neuroscience and Biobehavioral Reviews, 8(28), 875. https://doi.10.1016/j.neubiorev.2004.10.001.

Costa Jr, P. T., & McCrae, R. R. (1990). Personality disorders and the five-factor model of personality. Journal of personality disorders, 4(4), 362-371. https://doi.org/10.1521/pedi.1990.4.4.362.

Costa, P. T., & McCrae, R. R. (1992). Normal personality assessment in clinical practice: The NEO Personality Inventory. Psychological assessment, 4(1), 5. https://psycnet.apa.org/buy/1992-25763-001.

Delavar, A. B., M. Kashef, H. (1393). For the selection of candidates to enter the five-factor NEO-FFI test of Amin University of Police Sciences. Naja human resources, 5(35), 105-122. https://civilica.com/doc/1745508. [In Persian].

Domaradzka, E., & Fajkowska, M. (2018). Cognitive emotion regulation strategies in anxiety and depression understood as types of personality. Frontiers in psychology, 9, 856. https://doi.org/10.3389/fpsyg.2018.00856.

Dryman, M. T., & Heimberg, R. G. (2018). Emotion regulation in social anxiety and depression: A systematic review of expressive suppression and cognitive reappraisal. Clinical Psychology Review, 65, 17-42. https://doi.org/10.1016/j.cpr.2018.07.004.

Duncan, L. A., Schaller, M., & Park, J. H. (2009). Perceived vulnerability to disease: Development and validation of a 15-item self-report instrument. Personality and Individual Differences, 47(6), 541-546. https://doi.org/10.1016/j.paid.2009.05.001.

Fergus, T. A., & Valentiner, D. P. (2010). Disease phobia and disease conviction are separate dimensions underlying hypochondriasis. Journal of behavior therapy and experimental psychiatry, 41(4), 438-444. https://doi.org/10.1016/j.jbtep.2010.05.002.

Garnefski, N., Kraaij, V., & Spinhoven, P. (2002). Manual for the use of the Cognitive Emotion Regulation Questionnaire. Leiderdorp, The Netherlands: DATEC. https://doi.org/10.1177/1073191110397.

Gaygısız, Ü., Gaygısız, E., Özkan, T., & Lajunen, T. (2012). Individual differences in behavioral reactions to H1N1 during a later stage of the epidemic. Journal of infection and public health, 5(1), 9-21. https://doi.org/10.1016/j.jiph.2011.09.008.

Goñi-Balentziaga, O., Garmendia, L., Labaka, A., Lebeña, A., Beitia, G., Gómez-Lázaro, E., & Vegas, O. (2020). Behavioral coping strategies predict tumor development and behavioral impairment after chronic social stress in mice. Physiology & behavior, 214, 112747. https://doi.org/10.1016/j.physbeh.2019.112747.

Görgen, S. M., Hiller, W., & Witthöft, M. (2014). Health anxiety, cognitive coping, and emotion regulation: A latent variable approach. International Journal of Behavioral Medicine, 21(2), 364-374. https://doi.org/10.1007/s12529-013-9297-y.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of psychopathology and behavioral assessment, 26(1), 41-54. http://dx.doi.org/10.1007/s10862-008-9102-4.

Gray, J. (1987). The psychology of fear and stress. Cambridge University Press. New York. http:// Amazon.com.

Gray, J., & McNaughton, N. (2000). The Neuropsychology of Anxiety. Oxford University Press. New York, 72-82. http:// Amazon.com.

Gray, J., Owen, S., Davis, N., & Tsaltas, E. (1983). Psychological and physiological relations between anxiety and impulsivity. Biological bases of sensation seeking, impulsivity, and anxiety, 181-217. http:// Amazon.com.

Gray, J. A. (1969). An arousal-decision model for partial reinforcement and discrimination learning. Animal discrimination learning. https://cir.nii.ac.jp/crid/1573105974522725376.

Gray, J. A. (1970). The psychophysiological basis of introversion-extraversion. Behaviour research and therapy, 8(3), 249-266. https://doi.org/10.1016/0005-7967(70)90069-0

Gray, J. A. (1981). A critique of Eysenck’s theory of personality. In A model for personality (pp. 246-276). Springer. http:// Amazon.com.

Gray, J. A. (1987). Perspectives on anxiety and impulsivity: A commentary. https://doi.org/10.1016/0092-6566(87)90036-5.

Haren, E. G., & Mitchell, C. W. (2003). Relationships between the Five-Factor Personality Model and coping styles. Psychology and Education: An Interdisciplinary Journal. https://psycnet.apa.org/record/2003-03512-010.

Harmon-Jones, E., & Winkielman, P. (2007). Asymmetrical frontal cortical activity, affective valence, and motivational direction. Social neuroscience: Integrating biological and psychological explanations of social behavior, 137-156. http:// Amazon.com.

Hasani, Jafari, Salehi, Samerand, & azad, R. (2012). Psychometric properties of the Jackson five-factor questionnaire: Scales of revised sensitivity theory to reinforcement. Quarterly Journal of Mental Health Research, 6(3), 60-73. https://www.sid.ir/paper/134010/fa [In Persian].

Hasani, J. (2010). The psychometric properties of the cognitive emotion regulation questionnaire (CERQ). Journal of Clinical Psychology, 2(3), 73-84. http://doi/ 10.22075/JCP.2017.2031. [In Persian].

Jalloh, M. F., Li, W., Bunnell, R. E., Ethier, K. A., O’Leary, A., Hageman, K. M., Sengeh, P., Jalloh, M. B., Morgan, O., & Hersey, S. (2018). Impact of Ebola experiences and risk perceptions on mental health in Sierra Leone, July 2015. BMJ global health, 3(2), e000471. http://dx.doi.org/10.1136/bmjgh-2017-000471.

Jungmann, S. M., & Witthöft, M. (2020). Health anxiety, cyberchondria, and coping in the current COVID-19 pandemic: Which factors are related to coronavirus anxiety? Journal of Anxiety Disorders, 102239. https://doi.org/10.1016/j.janxdis.2020.102239.

Khoshfetrat, A., Scully, D., & Fassbender, C. (2022). Effects of behavioral inhibition/activation systems on anger rumination and anger expression through Difficulty in Emotion Regulation. Personality and individual differences, 191, 111574. https://doi.org/10.1016/j.paid.2022.111574.

Kimbrel, N. A., Nelson-Gray, R. O., & Mitchell, J. T. (2012). BIS, BAS, and bias: The role of personality and cognitive bias in social anxiety. Personality and Individual Differences, 52(3), 395-400. https://doi.org/10.1016/j.paid.2011.10.041.

Lee, S. A., & Crunk, E. A. (2020). Fear and psychopathology during the COVID-19 crisis: neuroticism, hypochondriasis, reassurance-seeking, and coronaphobia as fear factors. OMEGA-Journal of Death and Dying, 0030222820949350. https://doi: 10.1177/0030222820949350.

Lee, S. A., Jobe, M. C., Mathis, A. A., & Gibbons, J. A. (2020). Incremental validity of coronaphobia: Coronavirus anxiety explains depression, generalized anxiety, and death anxiety. Journal of anxiety disorders, 74, 102268. https://doi.org/10.1016/j.janxdis.2020.102268.

Liu, D. Y., & Thompson, R. J. (2017). Selection and implementation of emotion regulation strategies in major depressive disorder: An integrative review. Clinical Psychology Review, 57, 183-194. https://doi.org/10.1016/j.cpr.2017.07.004.

Lu, H., Stratton, C. W., & Tang, Y. W. (2020). Outbreak of pneumonia of unknown etiology in Wuhan, China: The mystery and the miracle. Journal of medical virology, 92(4), 401-402. https://doi: 10.1002/jmv.25678.

Main, A., Zhou, Q., Ma, Y., Luecken, L. J., & Liu, X. (2011). Relations of SARS-related stressors and coping to Chinese college students' psychological adjustment during the 2003 Beijing SARS epidemic. Journal of counseling psychology, 58(3), 410. https://doi: 10.1002/jmv.25678.

Markarian, S. A., Pickett, S. M., Deveson, D. F., & Kanona, B. B. (2013). A model of BIS/BAS sensitivity, emotion regulation difficulties, and depression, anxiety, and stress symptoms in relation to sleep quality. Psychiatry research, 210(1), 281-286. https://doi.org/10.1016/j.psychres.2013.06.004.

Mazloomzadeh, M., Asghari Ebrahim Abad, M. J., Shirkhani, M., Zamani Tavousi, A., & Salayani, F. (2021). Relationship between Corona virus anxiety and health anxiety: Mediating role of emotion regulation difficulty. Journal of Clinical Psychology, 13(Special Issue 2), 111-120. http://doi.org/10.22075/JCP.2021.21977.2024 [In Persian].

Mazloomzadeh, M., Mashhadi, A., & Hosseini, S. R. (2022a). Prediction of death anxiety through fear of COVID-19, neuroticism, behavioral inhibition system and uncertainty intolerance. Journal of Fundamentals of Mental Health. http://journal-counselling.iiau.ac.ir/article_689256_53d2d7d8b122e82e49d3cc0060dd26ea.pdf [In Persian].

Mazloomzadeh, M., Mashhadi, A., & Hosseini, S. R. (2022b). Prediction of death anxiety through fear of COVID-19, neuroticism, behavioral inhibition system and uncertainty intolerance.  Journal of Fundamentals of Mental Health. https://profdoc.um.ac.ir/paper-abstract-1092269.html.

Mazloomzadeh, M. R., Ghanbari Hashemabadi, B. A., & Jahangiri, A. (2022). The Relationship between Personality Characteristics and Life Satisfaction with the Mediating Role of Emotional Intelligence. Journal of Excellence in counseling and psychotherapy, 10(40), 88-103. http://journal-counselling.iiau.ac.ir/article_689256_53d2d7d8b122e82e49d3cc0060dd26ea.pdf

McKay, D., & Asmundson, G. J. (2020). COVID-19 stress and substance use: Current issues and future preparations. Journal of Anxiety Disorders. http://doi: 10.1016/j.janxdis.2020.102274.

Mohammadi, N. (2008). The psychometric properties of the Behavioral Inhibition System (BIS) and Behavioral Activation System (BAS) scales among students of Shiraz University. http://doi: 10.1001.1.23452188.1387.6.1.6.7 [In Persian].

Montazeri, A., Vahdaninia, M., Ebrahimi, M., & Jarvandi, S. (2003). The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health and quality of life outcomes, 1(1), 14. https://doi.org/10.1186/1477-7525-1-66.

Muris, P., Meesters, C., & Spinder, M. (2003). Relationships between child-and parent-reported behavioural inhibition and symptoms of anxiety and depression in normal adolescents. Personality and Individual Differences, 34(5), 759-771. https://doi.org/10.1016/S0191-8869(02)00069-7.

Nargesi, F., Izadi, F., Kariminejad, K., & Rezaii, S. A. (2017). The investigation of the reliability and validity of Persian version of Health anxiety questionnaire in students of Lorestan University of Medical Sciences. https://doi.org/10.22054/jem.2017.19621.1495 [In Persian].

Nikčević, A. V., Marino, C., Kolubinski, D. C., Leach, D., & Spada, M. M. (2021). Modelling the contribution of the Big Five personality traits, health anxiety, and COVID-19 psychological distress to generalised anxiety and depressive symptoms during the COVID-19 pandemic. Journal of affective disorders, 279, 578-584. https://doi.org/10.1016/j.jad.2020.10.053.

Ochsner, K. N., & Gross, J. J. (2007). The neural architecture of emotion regulation. Handbook of emotion regulation, 1(1), 87-109. https://psycnet.apa.org/record/2007-01392-005.

Oguchi, M., & Takahashi, F. (2019). Behavioral inhibition/approach systems constitute risk/protective pathways from ADHD symptoms to depression and anxiety in undergraduate students. Personality and Individual Differences, 144, 31-35. https://doi.org/10.1016/j.paid.2019.02.033.

Qiu, J., Shen, B., Zhao, M., Wang, Z., Xie, B., & Xu, Y. (2020). A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. General psychiatry, 33(2). http:// doi: 10.1136/gpsych-2020-100213.

Rajkumar, R. P. (2020). COVID-19 and mental health: A review of the existing literature. Asian journal of psychiatry, 102066. https://doi.org/10.1016/j.ajp.2020.102066.

Ramos, C. (2020). Covid-19: la nueva enfermedad causada por un coronavirus. Salud Pública de México, 62(2, Mar-Abr), 225-227. https://doi.org/10.21149/11276.

Sabbagh, K., Mazloomzadeh, M., Tavousi, Z., & Mashhadi, A. (2023). Predicting psychological well-being through the path of fear of Covid-19, behavioral inhibition system, and negative emotion regulation strategies. Journal of Sabzevar University of Medical Sciences, 30(1), 64-77. https://jsums.medsab.ac.ir/article_1540.html?lang=en [In persian].

Salkovskis, P. M., & Warwick, H. (2001). Meaning, misinterpretations, and medicine: A cognitive-behavioral approach to understanding health anxiety and hypochondriasis. https://psycnet.apa.org/record/2001-00239-009.

Segarra, P., Poy, R., López, R., & Moltó, J. (2014). Characterizing Carver and White’s BIS/BAS subscales using the Five Factor Model of personality. Personality and individual differences, 61, 18-23. https://doi.org/10.1016/j.paid.2013.12.027.

Smits, D. J., & Boeck, P. (2006). From BIS/BAS to the big five. European journal of personality, 20(4), 255-270. https://doi.org/10.1002/per.583.

Sohrabi, C., Alsafi, Z., O’Neill, N., Khan, M., Kerwan, A., Al-Jabir, A., Iosifidis, C., & Agha, R. (2020). World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). International Journal of Surgery. https://doi.org/10.1016/j.ijsu.2020.02.034.

Song, K., Li, T., Luo, D., Hou, F., Bi, F., Stratton, T. D., Kavcic, V., Jiao, R., Xu, R., & Yan, S. (2020). Psychological Stress and Gender Differences during COVID-19 Pandemic in Chinese Population. medRxiv. http://doi: 10.1186/s12889-020-10085-w.

Sun, J., Luo, Y., Chang, H., Zhang, R., Liu, R., Jiang, Y., & Xi, H. (2020). The Mediating Role of Cognitive Emotion Regulation in BIS/BAS Sensitivities, Depression, and Anxiety Among Community-Dwelling Older Adults in China. Psychology Research and Behavior Management, 13, 939. https://www.tandfonline.com/doi/full/10.2147/PRBM.S269874.

Taylor, S. (2022). The psychology of pandemics. Annual review of clinical psychology, 18(1), 581-609. https://doi.org/10.1146/annurev-clinpsy-072720-020131

Tull, M. T., Barrett, H. M., McMillan, E. S., & Roemer, L. (2007). A preliminary investigation of the relationship between emotion regulation difficulties and posttraumatic stress symptoms. Behavior therapy, 38(3), 303-313. https://doi.org/10.1016/j.beth.2006.10.001.

Wang, X., Zhang, R., Chen, X., Liu, K., Wang, L., Zhang, J., Liu, X., & Feng, Z. (2019). Psychopathological correlates and emotion regulation as mediators of approach and avoidance motivation in a Chinese military sample. Frontiers in psychiatry, 10, 149. https://doi.org/10.3389/fpsyt.2019.00149.

Witthöft, M., & Hiller, W. (2010). Psychological approaches to origins and treatments of somatoform disorders. Annual Review of Clinical Psychology, 6, 257-283. https://www.annualreviews.org/doi/abs/10.1146/annurev.clinpsy.121208.131505.

Wu, R., Huang, J., Ying, J., Gao, Q., Guo, J., & You, J. (2021). Behavioral inhibition/approach systems and adolescent nonsuicidal self-injury: The chain mediating effects of difficulty in emotion regulation and depression. Personality and individual differences, 175, 110718. https://doi.org/10.1016/j.paid.2021.110718.

Yan, C., & Dillard, J. P. (2010). Emotion inductions cause changes in activation levels of the behavioural inhibition and approach systems. Personality and Individual Differences, 48(5), 676-680. https://doi.org/10.1016/j.paid.2009.12.002.

Yang, J., Mao, Y., Niu, Y., Wei, D., Wang, X., & Qiu, J. (2020). Individual differences in neuroticism personality trait in emotion regulation. Journal of affective disorders, 265, 468-474. https://doi.org/10.1016/j.jad.2020.01.086.

Yousefi, B., Valizadeh, S., Ghaffari, H., Vahedi, A., Karbalaei, M., & Eslami, M. (2020). A global treatments for coronaviruses including COVID‐19. Journal of Cellular Physiology. https://doi.org/10.1002/jcp.29785.